Active NPI
Mandy Jo Butler, FNP
- Family Nurse Practitioner
- Cloverport, KY
National Provider Identifier
1215935549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4083P
- Practice address
- 215 Elm St
Cloverport, KY 40111-1324 - Phone
- (270) 788-3000
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4083P | KY | Primary |
Addresses
Primary practice location
215 Elm St
Cloverport, KY 40111-1324
Mailing address
215 Elm St
Cloverport, KY 40111-1324
Phone (270) 788-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78010758 | Medicaid | KY | |
| 000000311345 | Other | KY | BCBS |
| 50003764 | Other | KY | PASSPORT |
Other names 1
- Ms. Mandy Jo Sizemore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Elm St
Cloverport, KY 40111-1324
Phone (270) 788-3000
Hospital & facility affiliations
- Breckinridge Memorial Hospital
- Owensboro Health Regional Hospital
- Perry County Memorial Hospital
- St Joseph Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4083P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breckinridge Health Inc | Current | Accepting new patients | |
| Breckinridge Health Inc | Current | Accepting new patients | |
| Breckinridge Health, Inc | Current | Accepting new patients | |
| Breckinridge Health Inc | Past | Accepting new patients | |
| Breckinridge Health, Inc. | Past | Accepting new patients |
Locations
209 Elm St
Cloverport, KY 40111
Phone (270) 788-3000
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Hardinsburg, KY
- NPI 1104828383
-
- Rural Health Clinic/Center
- Cloverport, KY
- NPI 1245236900
-
- Rural Health Clinic/Center
- MC Daniels, KY
- NPI 1235566332
-
- Family Medicine Physician
- Irvington, KY
- NPI 1831990662
-
- Rural Health Clinic/Center
- Hardinsburg, KY
- NPI 1568912400
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hardinsburg, KY
- NPI 1104828383
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1215935549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 ELM ST",
"city": "CLOVERPORT",
"state": "KY",
"postal_code": "401111324",
"telephone_number": "270-788-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ELM ST",
"city": "CLOVERPORT",
"state": "KY",
"postal_code": "401111324",
"telephone_number": "270-788-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MANDY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4083P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78010758",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000311345",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50003764",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "SIZEMORE",
"middle_name": "JO",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cloverport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.